| NPI | 1649222175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRIMBA President 718-332-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 210710) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 210710) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 225644) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-05-30 |